Apical Resection (Root End Surgery)
Apical resection (root end treatment) is a surgical procedure performed to clean the infection at the tip of the tooth root. This procedure is usually preferred in cases where root canal treatment is not successful. However, like any surgical procedure, apical resection carries some risks and success rates.
Apical resection is the surgical removal of infected or cystic root tips that do not respond to root canal treatment. In general, the probability of teeth undergoing apical resection remaining in the mouth for many years is quite high.
In Which Cases Is Apical Resection Performed?
• Formation of chronic infection or abscess at the root end
• Cyst formation at the root end
• Fracture or foreign body at the root end
• Saving teeth with unsuccessful root canal treatment
How Is the Apical Resection Procedure Performed?
• Local anesthesia is applied
• The gum is lifted and the root end is exposed
• Infected tissue and part of the root end are removed
• The root canal is cleaned again and closed with filling material (MTA)
• Stitches are placed after the procedure and the area is closed
• The tooth is removed from occlusion
• The patient is advised not to eat hard foods with this tooth for about 2 months
Recovery Process After Apical Resection
• There may be mild pain and swelling, which usually subsides within 1 week
• Antibiotics and painkillers are prescribed
• Stitches are removed after 7–10 days
Tooth Prognosis After Apical Resection
Apical resection is a procedure considered as a last resort to save your tooth. Although the success rate is quite high, it may vary from person to person. In some cases, reinfection may occur or you may encounter different problems such as tooth breakage (bruxism, hard feeding, etc.). For this reason, it is important to follow all your doctor’s instructions before and after the procedure. With regular dental check-ups, you can maintain your tooth health for many years.
Factors Affecting the Success of Apical Resection
• Severity of Infection: The extent and depth of the infection is one of the most important factors affecting the success of the procedure
• General Condition of the Tooth: The health of other parts of the tooth, bone structure and the condition of the root canal also determine the prognosis
• Accuracy of Surgery: The experience of the surgeon and the correct performance of the procedure are critical to success
• Patient Care: The importance given by the patient after the procedure affects the healing process
Long-Term Effects of Apical Resection
• Tooth Life: A successful apical resection can significantly extend the life of the tooth
• Pain and Swelling: It is normal to experience pain and swelling in the first few days after the procedure. This condition can be controlled with the medications recommended by your doctor
• Infection Risks: In rare cases, the infection may recur
• Tooth Fracture Risk: The treated tooth may be more fragile than other teeth
• Aesthetic Appearance: In some cases, there may be slight changes in the color or shape of the tooth